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Re: A new poll! From: Myer S. Bornstein, MD, CPE, FACOG (mborn@massmed.org) Tue Mar 20 14:39:41 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Douglas Krell: "Re: A new poll!" Previous message: ainsron@msn.com: "Interesting cesarean section" Maybe in reply to: Caitlin Cusack MD: "A new poll!" Next in thread: Douglas Krell: "Re: A new poll!" I would start off with f. you both need to be on the same page. next shut off the pitocin since all testing is normal then continue testing and delivery at term or with a positive tap. delivery if develops PIH or testing is abnormal. If the cervix remains unfavorable when you want to do the delivery , after trying pitocin then section. -- Myer S. Bornstein, MD, MMM, CPE, FACOG >----- Original Message ----- From: "Caitlin Cusack MD" <Caitlincusack@yahoo.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Tuesday, March 20, 2001 3:52 PM Subject: A new poll! > The list has been a sorry disappointment today-I keep logging on and > there's nothing to read! > > so-in order to try and generate some discussion-I'd like to know what > people would honestly do if put in the following situation: > > I came on for call at 7:30 and was left a G2P1 insulin requiring > gestational diabetic at 38 weeks being induced because of the GDM. Good > dates-but only 38 weeks, no tap. Fetal testing has been normal. So no > maternal or fetal indication for early induction. Prior section for > failure of descent 7lbs 2 oz-pushed for 3 hours. Pt feels this baby is > bigger, u/s shows EFW about the same. Unfavorable cervix, pitted all > day the day before, some contractions, no change in her cervix, baby not > well in the pelvis. Off of pit over night, when I came on in the am she > had been back on pit for a couple of hours for day two of her VBAC > induction. > > Here's another poll! Honestly would you: > a) Continue as is > b) Turn off the pit and send her home. > c) Tap her to at least document lung maturity > d) Turn off the pit and try a foley > e) Section her as she is not a great VBAC candidate > f) Have a discussion with your partner.... > > Just hoping to get this list going again for the day-it's been far too > quiet! > > -- > Cait Cusack > Next message: Douglas Krell: "Re: A new poll!" Previous message: ainsron@msn.com: "Interesting cesarean section" Maybe in reply to: Caitlin Cusack MD: "A new poll!" Next in thread: Douglas Krell: "Re: A new poll!"

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